The Centers for Medicare and Medicaid Services on Friday issued a 2026 Medicare Advantage and Part D final rule that makes changes to authorization decisions.
Category: Healthcare Finance News
Providence Health Plan teams with Collective Health on third-party administration
Providence Health Plan, a regional, nonprofit health plan serving Oregon, Washington and California, is partnering with health benefits platform Collective Health on an effort to overhaul third-party administration (TPA) services for self-funded employ…
Dr. Mehmet Oz confirmed as CMS administrator
In a 53-45 vote along party lines, the Senate on Thursday confirmed the nomination of Dr. Mehmet Oz as administrator for the Center for Medicare and Medicaid Services.
UnitedHealth Foundation awards $7M in maternal health grants
The United Health Foundation, the philanthropic foundation of UnitedHealth Group, will be awarding more than $7 million in new grants to increase access to maternal and infant health care.
The grants are also expected to address gaps in care for women …
Enrollment in ACA exchanges has exploded in recent years
Affordable Care Act enrollment has exploded over the last few years, more than doubling, with much of the growth coming from states that voted for Donald Trump in 2024, a KFF analysis finds.
Enrollment in ACA exchanges has exploded in recent years
Affordable Care Act enrollment has exploded over the last few years, more than doubling, with much of the growth coming from states that voted for Donald Trump in 2024, a KFF analysis finds.
Nonprofit hospitals see margin improvement despite challenges
Nonprofit hospitals and health systems with early fiscal year ends (FYE) performed better financially as compared to the prior year, with the median operating margin for providers with early FYEs improving to 1.2% in 2024 – up from -0.5% in ’23.
Senate amendment leaves $880 billion in cuts that would likely target Medicaid
Congress is plowing ahead towards a budget reconciliation process ahead of its two-week recess starting on April 10.
Troubling for hospitals is a Senate amendment to a House budget resolution introduced by Senate Budget Committee Chairman Senator Linds…
Medical device cybersecurity could be challenged by HHS staffing cuts
A hearing before a House Energy and Commerce subcommittee Tuesday on the safety of legacy medical devices became a forum for Democrats to protest staffing cuts at Health and Human Services, one of the federal departments tasked with cybersecurity prote…
CVS Caremark taps Omada on GLP-1 program
CVS Health’s pharmacy benefit manager, Caremark, is bringing Omada Health on board to be a part of its weight management program, with a focus on access to GLP-1 drugs.
